NPIMap

Individual provider Active NPI

John T Symonds, DO

  • Family Medicine Physician
  • Maryville, MO
National Provider Identifier
1922035070
Registry record updated Oct 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2007010486 Issued in MO
Practice address
2016 S Main St
Maryville, MO 64468-2655
Phone
(660) 562-7099
Fax
(660) 562-7999
NPI assigned
Jun 26, 2006
Last updated
Oct 10, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2007010486 MO Primary
General Practice Physician 208D00000X 77 NE

Addresses

Primary practice location

2016 S Main St
Maryville, MO 64468-2655

Mailing address

2016 S Main St
Maryville, MO 64468-2655
Phone (660) 562-2600

Other practice location 1

114 E South Hills Dr
Maryville, MO 64468-2659
Phone (660) 562-2525

Other practice location 2

301 E Price Ave
Savannah, MO 64485-2427
Phone (816) 432-0006

Other identifiers 2

IdentifierTypeStateIssuer
07049OtherNEBLUE CROSS BLUE SHIELD NE
080017219OtherPALMETTO GBA RR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070504000159 MO Practitioner - Family PracticePractitioner - General Practice 1153369814 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: General Practice
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SSM Regional Health ServicesGroup PAC ID 8921917352, shared by 13 NPIs, 165 clinicians

Practice addresses (Care Compare)

2016 S Main St
Maryville, MO 64468-2655
Phone (660) 562-2525

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.52 of 100Reported as group
Quality
73.6
Promoting interoperability
100
Improvement activities
40
Cost
81.46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
77NEMDAcupuncturist
2007010486MOMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oregon Healthcare LLC Past Accepting new patients
Nebraska Neurosurgery Group LLC Past Accepting new patients
Mosaic Medical Center - Maryville Family Medicine Past Accepting new patients
Nodaway Physician Services, LLC Past Accepting new patients
N & R of Maryville LLC Past Accepting new patients
Tiffany Healthcare LLC Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Tiffany HeightsMound City, MO, CCN 265746 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jul 1, 2025
Jul 1, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 16

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 16

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570665600000",
    "number": "1922035070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2016 S MAIN ST",
            "city": "MARYVILLE",
            "state": "MO",
            "postal_code": "644682655",
            "telephone_number": "660-562-2600",
            "fax_number": "660-562-7911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2016 S MAIN ST",
            "city": "MARYVILLE",
            "state": "MO",
            "postal_code": "644682655",
            "telephone_number": "660-562-7099",
            "fax_number": "660-562-7999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "114 E South Hills Dr",
            "address_purpose": "LOCATION",
            "city": "Maryville",
            "state": "MO",
            "postal_code": "644682659",
            "country_code": "US",
            "telephone_number": "660-562-2525",
            "fax_number": "660-562-4303",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "301 E Price Ave",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "MO",
            "postal_code": "644852427",
            "country_code": "US",
            "telephone_number": "816-432-0006",
            "fax_number": "816-432-0008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SYMONDS",
        "first_name": "JOHN",
        "middle_name": "T",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-26",
        "last_updated": "2019-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2007010486",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NE",
            "license": "77",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD NE",
            "identifier": "07049",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA RR MEDICARE",
            "identifier": "080017219",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maryville, MO

Sources for this page

Verify at the official NPI Registry.